SAN DIMAS DIALYSIS CENTER, INC.
NPI 1447285275
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in San Dimas, CA
About San Dimas Dialysis Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN DIMAS DIALYSIS CENTER, INC. (NPI 1447285275) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in San Dimas, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Mojtaba Moghadam, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Dimas Dialysis Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D1045793
San Dimas Dialysis Center, Inc · San Dimas, CADialysis Facility Quality Ratings CMS Care Compare
Quality ratings, services and patient survey results for San Dimas Dialysis Center, Inc. (CMS certification number 552552), from CMS Care Compare.
San Dimas Dialysis Center, Inc.
Dialysis facility · San Dimas, CAPatient Survey Results
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIMAS, CA 91773
SAN DIMAS, CA 91773
SAN DIMAS, CA 91773
SAN DIMAS, CA 91773
SAN DIMAS, CA 91773
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is San Dimas Dialysis Center A Medical Corporation's NPI number?
The NPI number for San Dimas Dialysis Center A Medical Corporation is 1447285275. It was assigned to this organization in the NPPES registry on July 11, 2006. The provider is doing business as San Dimas Dialysis Center, Inc..
Where is San Dimas Dialysis Center A Medical Corporation located?
San Dimas Dialysis Center A Medical Corporation is located at 1335 W Cypress Ave Suite 102, San Dimas, CA 91773. The listed phone number is (909) 542-2900.
What is San Dimas Dialysis Center A Medical Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.
Is San Dimas Dialysis Center A Medical Corporation enrolled in Medicare?
Yes. San Dimas Dialysis Center A Medical Corporation is registered in the Medicare PECOS enrollment system.
When is San Dimas Dialysis Center A Medical Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, End-Stage Renal Disease Facility (ESRD)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does San Dimas Dialysis Center A Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1045793) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is San Dimas Dialysis Center A Medical Corporation a Medicare-certified dialysis facility?
Yes. San Dimas Dialysis Center, Inc. is a Medicare-certified dialysis facility, certified since May 12, 2006.
What quality rating does San Dimas Dialysis Center A Medical Corporation have?
CMS rates San Dimas Dialysis Center, Inc. 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.
When was this NPI record last updated?
The NPPES record for San Dimas Dialysis Center A Medical Corporation was last updated on June 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.